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Is JVD present? Are lung sounds absent on either side? Any subcutaneous air around the neck or chest? Any trachea deviation? Also how is the chest during compressions? Is it really rigid? For some reason I am thinking of a possible Tension Pneumothorax.

Respirations shoot up into the 40-50 range with oxygen sats dropping when moved to the stretcher. Also looking at this as already knowing what happened, it seems there were two choices. Narcan and wake him up, have him vomit again and have respriations shoot way up and O2 sats drop. Now you...

Whoops, I meant to put my possible treatment. IV access, fluid bolus 40 ml/kg, and possibly dopamine if the fluid bolus cannot keep up cardiac output. With the ST elevation in V5 and V6 it may be a possible RVI so withholding NTG and Morphine may be the best bet right now.

Before a treatment plan a few more questions.... How long ago did the chest p/x start? Did the pt. take any medications (ie. ASA or NTG) that helped the p/x? What does the pain feel like and does the pain travel to any other parts of the body? What medications is the pt. currently on...

I do aplogize that was an oversight on my part, your monitor reads HI at 500. R/r counted at 22. And everyone has pointed out the fact that there is not much we can do in the field either for HHNK or DKA other than treat dehydration. The one major clue is the nausea/vomiting thats not...

Temperature: 101* orally Lung sounds: Clear and equal bilaterally BGL: Reads HI Pupils: PERL ECG: Sinus Tach Urine output: Farther states she has been urinating more than usual even with not eating or drinking much over last 3 days. No smell on her breath. Abdominal assessment: Tender...

Being a paramedic student, I always seem to learn a lot from scenarios. So with that said, I believe doing scenarios with a lot of input from various members at different training levels will be an exceptional learning tool. So here is the first one. Date and Time: Monday, October 05, 2009 at...

I was taught that hiccups are a possible sign due to the close proximity to the diaphragm and accompanied irritation.

Hopefully this will be in full swing soon. With the new paramedic curriculum going into effect, and the possible updates to scope of practice requiring a bridge for existing paramedics. This is hopefully the first step in getting existing persons out of this profession that have no other reason...

Is there any pedal edema? Possible aortic regurgitation.

Isn't it also against AHA guidelines to transport a patient with CPR in progress?

That was my thought, stay on scene or in the back of the ambulance and work it until ROSC or you have to call it.

You are a paramedic unit composed of a medic and a basic. You are toned out for a 7 week old cardiac arrest. Arrive on scene and find the mother and farther very upset, leading you to the baby. The mother states that the baby was sleeping in his crib when she checked on him 3 hours ago. Before...

Did the ERCP reveal anything? Possible Gall stones?

As for the skills part, they would probably be equal. But in being able to think outside the box and not being a protocol medic, then it is most likely the 2 year medic. Skills are easy to perform, but knowing the reason to perform the skills; outside that’s what the book says to do, is harder...

http://www.amazon.com/Professionalism-Healthcare-Primer-Success-PROFESSIONALISM/dp/0135153875 This was one of our required books for the "Introduction to EMS" class we had first semester of the paramedic program.

Stopped at 70 questions and passed on the first try,

I agree with you, I have found it to be pretty useful. The paper we turn in is probably the same a green sheet for Clinical sites and a blue sheet for Field sites. The one positive is that when we finish our program we will get a print out of all hours, skills performed, and patient leads we...

Thanks for telling me that NREMT does not set the standards, I knew that NHTSA set the standards for education but the way my instructor made it sounds was that these had to be met in order to test for NREMT. So the wording of my post may have been a bit misleading, but I will question what he...

We all talk about enhancing education in EMS, but I just wanted to see if the paramedic programs many of us are in are advancing education on their own. Our clinical class just met last week and the instructors informed us that we will no longer meet requirements by just showing up for our eight...